Organization Active NPI

Family Practice of Washington, P.C.

  • Family Medicine Physician
  • Washington, IA
National Provider Identifier
1740317312
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PRACTICE OF WASHINGTON, P.C.
Practice address
420 E Polk St
Washington, IA 52353-1237
Phone
(319) 653-7291
Fax
(319) 653-7440
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. G. David Nacos, M.D.
Title
President
Phone
(319) 653-7291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IA Primary

Addresses

Primary practice location

420 E Polk St
Washington, IA 52353-1237

Mailing address

420 E Polk St
Washington, IA 52353-1237
Phone (319) 653-7291

Other identifiers 2

IdentifierTypeStateIssuer
29679OtherIAWELLMARK BCBS OF IA
0296798MedicaidIA

National Provider Directory

National Provider Directory

Locations

420 E Polk St
Washington, IA 52353
Phone (319) 653-2930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740317312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "319-653-7291",
            "fax_number": "319-653-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "319-653-7291",
            "fax_number": "319-653-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF WASHINGTON, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NACOS",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-653-7291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IA",
            "identifier": "29679",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0296798",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.